Provider Demographics
NPI:1083211171
Name:AWOYINFA, KENICE (CPNP-C, APN, RN)
Entity type:Individual
Prefix:
First Name:KENICE
Middle Name:
Last Name:AWOYINFA
Suffix:
Gender:F
Credentials:CPNP-C, APN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 HARRINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-1823
Mailing Address - Country:US
Mailing Address - Phone:347-703-7814
Mailing Address - Fax:
Practice Address - Street 1:1301 WHITEHORSE MERCERVILLE RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3826
Practice Address - Country:US
Practice Address - Phone:609-585-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-02
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY802427163W00000X
NJ26NJ01398000363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse